Kovacević M S, Bumbasirević Lj, Prokopljević C, Kovacević D, Jovanović D, Zidverc J
Department of Neurology, University Clinical Centre, Belgrade.
Srp Arh Celok Lek. 1992 Nov-Dec;120(11-12):345-7.
Ataxia, loss of muscle coordination during complex movement, is the most important sign of cerebellar lesion. Acute cerebellar attack of ischaemic and/or haemorrhagic nature is a focal disorder of cerebellar function which occurs rarely considering the prominent collateral net of blood vessels conveying blood to the cerebellum and the brain stem. We examined 12 patients with acute cerebellar attack (9 with ischaemic and 3 with haemorrhagic attack) of 300 patients with symptoms and signs of acute cerebrovascular attacks. We used all available diagnostic methods (EEG, neuro-ophthalmological examination, computed tomography as well as brain scintigraphy and angiography) in the management of these patients.
共济失调,即在复杂运动过程中肌肉协调性丧失,是小脑病变的最重要体征。缺血性和/或出血性急性小脑发作是一种小脑功能的局灶性紊乱,鉴于向小脑和脑干输送血液的血管侧支网络显著,这种情况很少发生。我们在300例有急性脑血管发作症状和体征的患者中检查了12例急性小脑发作患者(9例缺血性发作和3例出血性发作)。在这些患者的治疗中,我们使用了所有可用的诊断方法(脑电图、神经眼科检查、计算机断层扫描以及脑闪烁显像和血管造影)。